The nurse is evaluating the laboratory test results of a ...

[clippers!]

The nurse is evaluating the laboratory test results of a 7-year-old child with a suspected hematologic disorder. Which finding would cause the nurse to be concerned?
 
  A) WBC: 5.6 X 103/mm3
  B) RBC: 2.8 X 106/mm3
  C) Hemoglobin: 11.4 mg/dL
  D) Hematocrit: 35

Question 2

The nurse is caring for a 2-year-old boy with hemophilia. His parents are upset by the possibility that he will become infected with hepatitis or HIV from the clotting factor replacement therapy. Which response by the nurse would be most appropriate?
 
  A) Parents commonly fear the worst; however, the factor will help your child lead a normal life.
  B) There are risks with any treatment including using blood products, but these are very minor.
  C) Although factor replacement is expensive, there's more financial strain from missing work if he has a bleeding episode.
  D) Since dry heat treatment of the factor began in 1986, there have been no reports of virus transmission.

[batool]

Answer to Question 1

Ans: B
The RBC listed is below the normal range for a child between the ages of 6 and 16 years (4.0 to 5.2 X 106/mm3). The WBC count, hemoglobin, and hematocrit are within acceptable parameters for a child this age.

Answer to Question 2

Ans: D
The nurse needs to emphasize that since 1986, there have been no reports of virus transmission from factor infusion since the inception of heat treatment of the factor. Telling the parents that there is a minor risk does not teach. Telling the parents that factor is expensive or that it is common to worry does not teach, nor does it address their concerns.

[clippers!]

TYSM

[Dnite]

Gracias!